Workers' Compensation Educational Sessions

presented by

W1: Through the Looking Glass – Making the Unseen Visible with Predictive Analytics
“If you don’t know where you are going, any road will get you there.” – Cheshire Cat. You may have access to more data (numbers, charts, statistics, facts, etc.) than you know what to do with, but still have no idea where it is leading you or what it is trying to tell you. This session will attempt to cut through the numbers and examine how an organization can not only find the road it’s on, but identify where it is going, where it wants to go and select the road to get there through the use of predictive analytics. We will examine case studies involving both the underwriting and claims side of operations.

Monday, September 26, 10:15 AM - 11:30 AM

Speakers:

Freda Bacon
Administrator
Alabama Self-Insured Worker’s Compensation Fund


Kimble Coaker
CEO
AL Trucking Association Fund

W2: Collateral Challenges
One of the challenges faced by employers who retain risk is managing the collateral associated with that risk. Both self-insured collateral held by states and deductible collateral held by carriers require careful monitoring. This session will discuss the different options for collateral and strategies to minimize the amount of collateral being held.

Monday, September 26, 1:45 PM - 3:00 PM

Moderator:

Mark Walls
Vice President Communications & Strategic Analysis
Safety National

Panelists:

Joseph Braun
Assistant Vice President – Credit Risk
Safety National


Pamela Ferrandino
EVP and Senior Principal, National Casualty
Willis Towers Watson

Matt Cohen
VP Client Services
Sedgwick Claims Management Services, Inc.

W3: What Does the Medicare Secondary Payer Act Mean for You?
With Medicare in financial distress, the Centers for Medicare and Medicaid Services (CMS) is stepping up its enforcement of the Medicare Secondary Payer Act (MSP), resulting in several amendments to protect Medicare’s interests. Learn what the MSP Act and resulting amendments mean for you as we discuss the latest updates, the information to be reported, the steps to resolve liens, and how a set-aside allocation comes together, including the factors to consider when deciding whether to submit.

Monday, September 26, 3:15 PM - 4:30 PM

Speaker:

Rafael Gonzalez
Vice President, Strategic Solutions
Optum

W4: Managing an Increasingly Impaired Workforce
With legalized medicinal and recreational marijuana rapidly becoming a reality and use of other drugs like opioids and heroin reaching near-epidemic levels, employment practices are becoming progressively challenged. Not only does this create issues from a human resources standpoint, but it also creates the need for a major overhaul of traditional loss prevention and claims management practices. This session will investigate the changing demands that these trends are putting on organizations and how they are responding to them.

Monday, September 26, 3:15 PM - 4:30 PM

Speakers:

Mark Pew
Senior Vice President
PRIUM


Mark Walls
Vice President Communications & Strategic Analysis
Safety National

W5: Medication Trends Shaping Workers’ Compensation
Ensuring the right decision is made so that the injured worker receives the right medication at the right time, and is cost effective, has its challenges. Understanding the medication trends that influence cost and utilization can help ensure optimal outcomes clinically and financially. During the presentation, we will examine medication costs and utilization trends, and discuss the importance of collaboration to help achieve better outcomes for payers and workers alike.

Tuesday, September 27, 10:15 AM - 11:30 AM

Speakers:

Tron Emptage
Chief Clinical Officer
Helios


Paul Peak, PharmD
Director Clinical Pharmacy, Complex Pharmacy Management
Sedgwick Claims Management Services, Inc.

W6: The Enemy Within: Dealing with Fraud in Your Pool
No one wants to hear that even though you believe you are doing everything "right" - rigorous annual clean audits, regular external reviews by reinsurance partners, an active internal audit function, and rigorous policies regularly reviewed through the AGRIP Recognition Standards - things can still go wrong. In this case, we will hear about one pool's very personal experience - recently concluded with the criminal sentencing of a long-time employee - and the lessons learned. From discovering the fraud - which involved embezzlement of over $1 million over a 10 year period - to working with the authorities, managing the public relations, and dealing with employee morale. By sharing this experience, it may prevent it from happening in other pools / funds.

Tuesday, September 27, 1:45 PM - 3:00 PM

Speaker:

Dubravka Romano
Associate Exec Director for Risk Management Services
Texas Assoc. of School Boards

W7: Employee Health Management and Workers’ Compensation
Review how comorbidity management programs can impact benefit utilization and claim frequency. Workers’ compensation claims are often complicated because of employee health comorbidity that influences normal injury recovery. This session provides an overview of results and the impact of health management services that target employee health and comorbidity and the impact it has on frequency and severity for a public entity pool.

Tuesday, September 27, 3:15 PM - 4:30 PM

Speakers:

Brian Devlin
Senior Vice President, Risk Management Services
Insurance Program Managers Group (IPMG)


Kim Gaston
Clinical Field Service Director Health and Risk Management Services
Insurance Program Managers Group (IPMG)